HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 31 no. 2 (2016)

True Congenital Macroglossia Surgically Managed Using a Modifed Kole Technique

Gil M. Vicente | Jenifer C. Smith



Objective: To describe a 2-year-old boy with true congenital macroglossia surgically managed using a modifed Kole technique.


Design: Surgical Innovation

Setting: Tertiary Government Hospital

Patient: One

Results: A 2-year-old boy presented with congenital macroglossia, associated with difculty feeding and phonating. On physical examination, the massive tongue had both increased length and width. At rest, it protruded between the upper and lower teeth with drying and fssuring of the tip. Dribbling of saliva and mandible prognathism were also noted. The child was surgically treated with a modifed Kole technique, wherein the apex of the anterior wedge resection was

extended to the posterior third midline. Final histopathology was consistent with cavernous hemangioma.

Conclusion: The modifed Kole technique proved viable as the postoperative results were considered satisfactory. Tongue volume was uniformly reduced in length and width enabling mouth and jaw closure while tongue sensation and mobility were preserved. Feeding, speech intelligibility and cosmesis were markedly improved. Future application of this modifcation may prove its usefulness.